Teresa Ann Leake, MSSW, ACSW is a medicare enrolled "Social Worker - Clinical" provider in Vinita, Oklahoma. Her current practice location is
322 South Ross Street, Vinita, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 244-1685.
Teresa Ann Leake is licensed to practice in Oklahoma (license number 0890) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922245760.
Healthcare Provider's Profile
Full Name | Teresa Ann Leake |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 322 South Ross Street, Vinita, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922245760
- Provider Enumeration Date: 01/15/2009
- Last Update Date: 01/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 3678009792
- Enrollment ID: I20241211004493
Medical Identifiers
Medical identifiers for Teresa Ann Leake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922245760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0890 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teresa Ann Leake allows following entities to bill medicare on her behalf.
Entity Name | Millennium Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Ann Leake is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Teresa Ann Leake, MSSW, ACSW P.o. Box 238, Vinita, OK 74301-3930 Ph: (918) 244-1685 | Teresa Ann Leake, MSSW, ACSW 322 South Ross Street, Vinita, OK 74301-3930 Ph: (918) 244-1685 |
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